Integration of Evidence-Based Practice Into Professional Nursing Practice (graded)As the professional nurse, you realize that your nursingcare area often sees patients with the same particularly challenging nursing care issue (NOT medical care issue). Include allof the following in your answer to this discussion:Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this shouldnotbe a medical issue.Explain how you would search the nursing literature for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. NOTE: You donotneed to perform the search and provide an article for this discussion, but you may do so if you like.Integration of Evidence-Based Practice Into Professional Nursing Practice (graded)As the professional nurse, you realize that your nursingcare area often sees patients with the same particularly challenging nursing care issue (NOT medical care issue). Include allof the following in your answer to this discussion:
Coping with the Changes of Aging
Create a care plan for the Unit 6 Case Study. I have uploaded a template for the careplan. Then summarize the careplan.
Summarize your care plan for Mrs. Potter in a 1-page summary. ( I uploaded my paper from unit six) Please go by the rubric for this project.
Unit 6 Case Study
Lewis and Potter
Carla Lewis, age 49, and her 53-year-old husband, Bill, are caring-for her 71-year-old mother, Mrs. Potter, who has middle-stage dementia of the Alzheimers type. The Lewises moved Mrs. Potter into their home when she was no longer able to care for herself. Both Lewises work full-time outside the home, but Carla works days and Bill works nights. They have two children one is married, and the other, Jeff, lives with them and attends junior college.
The visiting nurse agency was asked to come to the home to evaluate whether the family was eligible for any services that might help them with Mrs. Potter.
Carla Lewis: I dont know what Im going to do. I feel as if my life is falling apart. Im so tired and depressed all the time. I get up early for work but Mom is up late at night and I cant leave her alone, so Im not getting much sleep.
Mom complains constantly that she is hungry. She says no one loves her and I dont take care of her. My sister, who lives 6 hours away and doesnt help with Mom at all, believes what Mom tells her and calls me to complain about my care of Mom. I feel guilty that Im gone all day but we need my paycheck to make ends meet. Mom gets a Social Security check, but I dont feel right using that. I cant take her income. She took care of me; its my duty to take care of her. Besides, what if she gets really sick, we may need that money to pay her hospital bills.
My husband is getting really put out about all of this. Hes so impatient with her, and it makes me mad. If it were his mother, it would be a different story But I still feel guilty that hes having to put up with Moms problems. We used to do lots of things together: We went for long walks in the evenings; we were real close. Also, I dont think Bill finds me attractive anymore. Im afraid our marriage wont survive this.
Sometimes I get angry at Mom when she wont bathe or asks the same question over and over. I resent the intrusion into our lives. Then I feel so guilty. Im a terrible daughter.
My daughter and her husband have a darling baby, but I just dont have the time to spend with them. My daughter is unhappy that Im not available to do things with her Theres so much to do taking care of Mom. My son, Jeff, is staying out late at night and complains about his grandmother. I cant ask my husband or son to help out, they have their own things, and its my job anyway My husband does watch Mom when Im at work, but he also needs to be sleeping, since he works at night.
I really miss my Mom; I mean, the mother I knew. Sometimes Mom doesnt even remember who I am. She often says, I want to call Carla. I have to tell her that I am Carla. That hurts.
Ive always enjoyed crafts. Ive been a member of a handcrafts club but can rarely participate now, and I dont have time to work on crafts at home. Whenever I get my materials out, Mom tries to help, and usually makes a mess and sometimes ruins my projects. My work is now my only social life. Id go crazy if I didnt have that.
I expect that Mom will eventually need to be placed in a nursing home, but Im afraid that she wont have good care there, and wont be happy. I think I should care for her at home as long as possible, at least until shes bed bound and has to be fed and diapered.
Bill Lewis: Having my mother-in-law living with us is wrecking our home. We used to be such a close family. Now my wife and I are barely speaking to each other and were rarely intimate with each other. We used to go to the health spa twice a week and kept in good shape. I still go, but Carla has stopped, and shes gaining weight. She was always quite a looker, but shes really let herself go.
Sure, I understand that we need to take care of Mom. After all, its our duty. I wish my sister-in-law would take her for a while, though.
Im really worried about my familys safety Mom tries to help in the kitchen, but she leaves the burners on and sometimes sets dishes or even paper on them. Im afraid shes going to bum the house down. Ive got to sleep during the day, so I cant watch her every minute, but shes getting dangerous. Im afraid to go to sleep. She lets our dog out the front door and he gets into the street. I yell at her about that, but she just does it again the next time he wants out. She also feeds him several times a day. If I hide the dog food, she opens cans of tuna for him. Hes getting fat, too.
One of the things that really annoys me is that we cant go anywhere. We cant leave Mom alone so if we want to go out to eat, we have to take her with us. Her behavior can be so bizarre, its really embarrassing. Our son wont stay alone with her, and I cant blame him. Hes having a real hard time with this.
Jeff: Grandma has really messed up our lives. She says the dumbest things, and shes always dirty and smelly. I know Mom tries to bathe her and wash her clothes, but Grandma puts up such a fuss that its easier just to let her be. She wears the same things every day, wont even take them off to be washed. I used to have my friends in all the time. They thought my folks were cool. But now I stay away as much as I can. I cant bring my buddies here.
Mom and Dad are fighting all the time now. When they start yelling, I get a real bad stomachache, so I just leave. They dont have time for me any more, either. I cant talk to either one of them; theyre so busy and stressed out. I want my home and my parents back!
Based on these data, what nursing diagnosis would you make?
Case study: Family stress and Alzheimers disease Nursing Diagnosis, Oct-Dec 1999 by Jensen, Betty Ayotte
Care Plan Template
Develop a nursing care plan. In formulating your plan, use the care plan model given below. You may type right into this template; it will expand. If needed, you may additionally submit a few narrative paragraphs. Hint: Elements of assessment, planning, intervention, resources, referrals, follow-up plans, and support for family should all apparent in your care plan.
NURSING CARE PLAN FOR: Patient Initials
ANALYSIS PLANNING IMPLEMENTATION EVALUATION
Assessment of Clients Progress of Lack of Progress Toward Resolution of Nursing Diagnosis:
For the purposes of this assignment leave this column blank.
The following is a copy of the paper I turned in for unit six.
Caring for Alzheimers
Living with or taking care of a terminally ill patient is never easy for both parties. Dementia of the Alzheimers is no exception and care givers are drained off of physical and mental energy while trying to juggle between the responsibilities that can be overwhelming (Alzheimers Society, 2012). On the other hand, it is never easy to make the choice of placing a loved one in a long-term care facility because often times one feels like they are abandoning or neglecting that person. However, according to the World Alzheimer Report (2013), the patients family will always play a central role in the patients life, regardless of whether they live with him/her or they have placed him/her in a residential facility. This report also argues that the societal costs incurred while providing care at home are very similar to those incurred for the provision of the same in a care home.
Recommendations for the patient as well as the family
In this case study, caring for Mrs. Potter who is dependent on her family is also bringing negative implication such as psychological and economical strain on her daughters family. Therefore, I would recommend that Mrs. Potter attend regular or routine medical checkups so that her progress may be fully monitored. Also recommend that she be attended to by someone who fully understands her condition such as a trained nurse aid, or she be placed in a facility such as a nursing home where she will receive quality care. This is very important for her well-being according to (My Senior Care, 2011)
Carla Lewis and her family are experiencing psychological distress in their own individual levels. There is an urgency to mend the family relationship and therefore a quick decision needs to be made about the provision of care for Mrs. Potter. I would suggest that Carla and her husband Bill visits the nearest Alzheimers resource center where they will get information about the resources and services they can use. On the other hand, I recommend that Carla seeks the services of a psychological counsellor to help her deal with the conflicting emotions and feelings she is dealing with. In addition, this will be instrumental in helping her realize that this is a family problem, and she need not overburden herself.
Services available to help Mrs. Potter and her family cope with her Alzheimers Diagnosis
Adult day care services would be useful since Carla Lewis demonstrates a resistance to place her mother in a nursing home. This service ensures that her husband Bill gets enough rest during the day and Carla can take care of her during the night. Besides the mother benefits from socializing with others of her own nature, and meals are provided for during the day.
Respite care allows Carla and Bill to rest while somebody else steps in and takes care of Mrs. Potter at home (Alzheimers Society, 2011). This may help Carla and her family gets time off to themselves and mends their relationship. They can take their mother to a day care facility where the respite caregiver attends to her then they can have time together at home or on a family outing. This way, none of the family members will feel neglected.
Joining a local support group would be very efficient for Carla and her family. This would be useful for her to realize that she is not alone and it would be instrumental in easing the guilt surrounding her. Additionally the whole family requires undergoing a training that empowers them with knowledge regarding the condition so that they may learn how to cope more efficiently (World Alzheimer Report, 2013).
There are facilities known as assisted living facilities, which provide comfort and safety for the patient. In this case Carla would not have to worry about leaving her mother in such a facility since there would be medical staff available throughout in case of any emergency. On the other hand Mrs. Potter will be allowed autonomy, though help is available when she needs it (My Senior Care, 2011).
Home care would be an excellent way of solving the hurdle the Lewiss are experiencing. Since Carlas sister does not play a proactive role in helping with the mothers problem, Carla can instead ask her to contribute financial support that will go into hiring the services of a home care attendant. This way Mrs. Potter remains at home with the attendant taking care of her needs, much to the relief of Carla, her husband and son. Additionally, there are resource centers that provide information and referral services for care-givers. These are instrumental in helping Carla and her families explore the options available to them given the financial resources they have.
There are numerous programs and services available for people living with or caring for someone with Alzheimers disease. However it is up to the caregivers (Carla and her family) to choose the most convenient option, given the psychological and cost implications on their end. Finally, it is important for family members to understand a condition before taking the full responsibility of helping out. This way they are able to minimize the risks of psychological distress that tag along with the decision.
Alzheimers Society.(2011). Putting care right campaign care at home.Retrieved February
15, 2014 from http://www.alzheimers.org.uk/supportstaysave
Alzheimers Society. (2012). Dementia 2012: A national challenge. Retrieved February 15, 2014
MySeniorCare.(2011). Alzheimers disease Care Options.
World Alzheimer Report. (2013). Journey of Caring: An Analysis of Long-term Care for
Dementia. London: ADIT
This is the grading rubric ;
Issues with the Aging Population
[50 points] Due Unit 7
Create a care plan for the Unit 6 Case Study. A care plan template is available by clicking below, or you may use a template that you are familiar with.
Summarize your care plan for Mrs. Potter in a 1-page summary.
A. Project Content Criteria
80% (40 points possible) Unsatisfactory
0 points Satisfactory
1 points Above Average
2-3 points Excellent
4 points Total Points
Care plan is submitted Care plan is not submitted.
Care plan is submitted, but focus needs to be clearer. Care plan is submitted, with clear focus, but it was brief. Care plan is submitted with clear focus and detailed presentation.
Care plan summary is submitted Care plan summary is not submitted.
Summary is submitted, but focus needs to be clearer. Summary is presented with clear focus, but it was too brief. Summary is presented with clear focus and appropriate level of detail.
Total points earned on this project ___/8 points
Percent Accomplished ___%
A. Project Content Points
(___% x 40 pts) ___/40 points
20% (10 points possible)
Paper or project was organized and well written
No paper or project submitted Paper or project was unorganized and poorly written. Paper or project was somewhat organized and overall writing left room for improvement Paper or project was thoroughly organized and well written
Ideas were stated clearly and logically
No project or paper submitted Ideas were not stated clearly or logically Some ideas were stated clearly and logically All ideas were stated clearly and logically
Relevance of content No project or paper submitted Paper or project was off topic and not relevant Some portions of paper or project were on topic and relevant Paper or project was thoroughly on topic and relevant
Course Policies formatting guidelines
No project or paper submitted No formatting guidelines were followed Some guidelines were followed All formatting guidelines were followed
Spelling and grammatical errors
No project or paper submitted Greater than 6 spelling or grammatical errors Less than 6 spelling or grammatical errors No spelling or grammatical errors
0 16 18 Total points earned on this project ___/20 points
Percent Accomplished ___%
B. Format & Style points
(____% x 10 pts) ___/10 points
Total Points: (A +B) /100
Requirements: Introduction Analyze the database environment. Describe the problems and constraints. Describe the objectives of the database environment. Describe the scope and boundaries. List the data specifications (must include a minimum of three entities with attributes). Include 2 or 3 references. Format your paper using APA guidelines Format citations using APA format.
Heart Failure and How readmission can be decreased
Nursing research and statistics
This paper is an academic exercise, not for publication. In your next semester you will work further on your data with your advisor, obtain IRB approvals, if applicable, and have real data. Until then you will run mock data on SPSS, or use the public data sets that you have obtained, so that you have prepared your codebook and thought through to your results section in a deeper way. This exercise helps you prevent spending a lot of time on merging data sets only to find out it did not have the one variable you really needed.
You will use the IMRaD format for the paper.
Here are a couple of links that describe IMRaD in more detail:
Please begin your paper with this statement: ?This paper is based on mock data and will not be published in this form until IRB approval and real data has been collected.?
You must clearly state which of your variables, or if the entire dataset, is mock or combination. Mock data simply means that you are going to ?make up? your data set by filling into an SPSS spreadsheet the answers to the data you plan to collect.
The paper may not be longer than 15 pages excluding the Title, Abstract, and Reference pages. You must use APA format. PLEASE NOTE that 25% of your grade is format, correct grammar, spelling, punctuation, etc.
Be sure that you pay close attention to these requirements. Submit your SPSS codebook in an appendix, along with a bullet point description of the steps you took for analysis.